Results of Turkish smoking cessation polyclinics data's analysis (TUSPA study)

Abstract

Aim: The aim of this multicentric, retrospective study is to establish smoking cessation success and the factors associated with these in Turkey.

Methods: This study was attended by 26 Smoking Cessation Polyclinics from different regions of Turkey and received 4497 patients (2748 male and 1749 female), retrospectively.

Results: The reason of patient's initiation of smoking was inclination to imitate in 45.2% cases. Smoking Cessation Polyclinics' patients were predominantly university graduated (56.3%), high-very high nicotine dependent (56.5%), income-generating employed (67.2%), with comorbid disease (66.9%). Ratio of patients, who have adherence to planned polyclinics visit was 36.2%. The ratio of patients, who had received pharmacotherapy was 56.8%. High education level was 58.6 %, level of high-very high nicotine dependence was 59.1 %, ratio of regular control was 56.1%, ratio of pharmacotherapy was 74.6%, ratio of had income-generating employment was 71%.1 in trying to quit groups (p<0.005). The success rates in patients at the end of the first month, third, sixth and twelfth were 53.5%, 43.3%, 37.4% and %31.3 respectively. Success rates were not different between men and women (Log Rank p=0.187). We observed that appearance of nicotine withdrawal symptoms, existing comorbid diseases and high level of nicotine dependence were independent risk factors for restart smoking. Also, advanced age, pharmacotherapy use, environmental support and regular control were independent risk factors for smoke free time.

Conclusions: Highly dependent patients is a risk groups for restart smoking, therefor pharmacotherapy should be carefully planned and followed up.